Outlaw, Stasha
Outlaw, Stasha is an individual health care provider with primary practice located at 15350 Nordhoff St Ste A , North Hills CA 91343-2234. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Outlaw, Stasha can be contacted via phone (818) 672-8228.Contact Information
Primary practice address
15350 Nordhoff St Ste A
North Hills CA 91343-2234
Phone: (818) 672-8228
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | 84465 | California |
Profile Details
| NPI number | 1972973725 |
|---|---|
| LBN Legal business name | Outlaw, Stasha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2015 |
| Last updated | Oct 5th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972973725 | NPPES |
| California | Other | 126800000 | DENTAL ASSISTANT |
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